<form action="index.php?route=payment/cheque/confirm" method="post">
	<h2><?php echo $text_instruction; ?></h2>
	<p><b><?php echo $text_payable; ?></b></p>
	<p><?php echo $payable; ?></p>
	<b><?php echo $text_address; ?></b><br />
	<p><?php echo $address; ?></p>
	<p><?php echo $text_payment; ?></p>
	<input type="submit" value="<?php echo $button_confirm; ?>"/>
</form>
